NURS 6512 Week 9 i-Human: 16-
Year-Old Male Right Hand Pain –
SOAP Note & Assessment (2025/2026
Edition) | Pass Exams First Attempt,
No Resits | Bates' Guide to Physical
Examination 13th Edition by Lynn S.
Bickley, Peter G. Szilagyi, and Richard
M. Hoffm
, Based on the search results for the **NURS 6512 Week 9 i-Human Case Study** (Walden University
Class 6512), I have identified **two distinct clinical variants** for the 16-year-old male presenting with
right hand pain. The correct diagnosis depends entirely on the **mechanism of injury** and **specific
pain location** in your assignment.
---
## 🚨 CRITICAL: Two Different Case Versions
### Version 1: De Quervain's Tenosynovitis (Overuse Injury)
| Feature | Finding |
| :--- | :--- |
| **Chief Complaint** | "My right hand hurts" |
| **Onset** | Gradual, 5 days ago |
| **Mechanism** | **No trauma** – Repetitive activities (video gaming 10-12 hours over weekend,
frequent texting) |
| **Pain Location** | **Base of right thumb**, on the side closest to wrist/forearm |
| **Pain Character** | Dull ache at rest (6/10), sharp with movement (8/10) |
| **Aggravating Factors** | Gripping, thumb movement, texting, gaming |
| **Associated Symptoms** | Mild swelling over radial styloid |
| **Key Negatives** | No numbness, tingling, or trauma |
| **Vital Signs** | BP 118/72, HR 78, Temp 37.0°C |
| **Physical Exam** | Tenderness over first dorsal compartment; **Positive Finkelstein test**; No
snuffbox tenderness; No pain with resisted thumb extension |
| **Primary Diagnosis** | **De Quervain's Tenosynovitis** |
Year-Old Male Right Hand Pain –
SOAP Note & Assessment (2025/2026
Edition) | Pass Exams First Attempt,
No Resits | Bates' Guide to Physical
Examination 13th Edition by Lynn S.
Bickley, Peter G. Szilagyi, and Richard
M. Hoffm
, Based on the search results for the **NURS 6512 Week 9 i-Human Case Study** (Walden University
Class 6512), I have identified **two distinct clinical variants** for the 16-year-old male presenting with
right hand pain. The correct diagnosis depends entirely on the **mechanism of injury** and **specific
pain location** in your assignment.
---
## 🚨 CRITICAL: Two Different Case Versions
### Version 1: De Quervain's Tenosynovitis (Overuse Injury)
| Feature | Finding |
| :--- | :--- |
| **Chief Complaint** | "My right hand hurts" |
| **Onset** | Gradual, 5 days ago |
| **Mechanism** | **No trauma** – Repetitive activities (video gaming 10-12 hours over weekend,
frequent texting) |
| **Pain Location** | **Base of right thumb**, on the side closest to wrist/forearm |
| **Pain Character** | Dull ache at rest (6/10), sharp with movement (8/10) |
| **Aggravating Factors** | Gripping, thumb movement, texting, gaming |
| **Associated Symptoms** | Mild swelling over radial styloid |
| **Key Negatives** | No numbness, tingling, or trauma |
| **Vital Signs** | BP 118/72, HR 78, Temp 37.0°C |
| **Physical Exam** | Tenderness over first dorsal compartment; **Positive Finkelstein test**; No
snuffbox tenderness; No pain with resisted thumb extension |
| **Primary Diagnosis** | **De Quervain's Tenosynovitis** |
